Ureteroscopy for paediatric calculi: The twin-surgeon model
Bhaskar K Somani1, Stephen Griffin2
1Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK.
Journal of Pediatric Urology
|November 15, 2017
Summary
This study details tips for pediatric ureteroscopy and laser lithotripsy (URSL) to treat ureteric stones. A multidisciplinary team approach and a twin-surgeon technique enhance stone removal success in children.
Area of Science:
- Pediatric Urology
- Endourology
- Nephrolithiasis Management
Background:
- Pediatric ureteric calculi require specialized management strategies.
- Ureteroscopy and laser lithotripsy (URSL) is an effective treatment modality.
- Optimizing URSL techniques is crucial for pediatric patients.
Purpose of the Study:
- To present practical 'tips and tricks' for performing URSL in children.
- To describe a multidisciplinary team (MDT) approach for pediatric stone management.
- To highlight the benefits of a twin-surgeon technique in pediatric URSL.
Main Methods:
- Formal stone MDT meetings involving urologists, radiologists, and biochemical pathologists.
- Joint procedures performed by a pediatric urologist and an experienced adult endourologist.
- Application of specific URSL techniques tailored for pediatric anatomy.
Main Results:
- The described approach facilitates comprehensive stone management planning.
- The twin-surgeon team ensures experienced guidance during procedures.
- Specific techniques aim to improve stone-free rates and minimize complications in pediatric URSL.
Conclusions:
- A multidisciplinary and collaborative surgical approach enhances URSL outcomes in pediatric ureteric calculi.
- The twin-surgeon model provides valuable expertise for complex pediatric stone cases.
- Implementing these tips and tricks can optimize the URSL procedure for children.
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